<?xml version="1.0" encoding="UTF-8"?>
<table class="container" cellpadding="0" cellspacing="3">
  <tr>
    <td colspan="2" id="content">
      <div class="INSTRUCTION  ">
        <span class="label">Pedido de examenes imagenologicos:</span>
        <span class="content">
          <div class="ELEMENT ELEMENT_DV_CODED_TEXT ">
            <span class="label">Radiografía de raquis cervical:</span>
            <span class="content">
              <label class="field_467"/>
            </span>
          </div>
          <div class="ELEMENT ELEMENT_DV_CODED_TEXT ">
            <span class="label">Radiografía de tórax:</span>
            <span class="content">
              <label class="field_468"/>
            </span>
          </div>
          <div class="ELEMENT ELEMENT_DV_BOOLEAN ">
            <span class="label">Radiografía de columna:</span>
            <span class="content">
              <label class="field_469"/>
            </span>
          </div>
          <div class="ELEMENT ELEMENT_DV_BOOLEAN ">
            <span class="label">Radiografía de abdomen:</span>
            <span class="content">
              <label class="field_470"/>
            </span>
          </div>
          <div class="ELEMENT ELEMENT_DV_BOOLEAN ">
            <span class="label">Radiografía de pelvis:</span>
            <span class="content">
              <label class="field_471"/>
            </span>
          </div>
          <div class="ELEMENT ELEMENT_DV_CODED_TEXT ">
            <span class="label">Radiografía de miembro:</span>
            <span class="content">
              <label class="field_472"/>
            </span>
          </div>
          <div class="CLUSTER  ">
            <span class="label">Ecografía / Ultrasonografía:</span>
            <span class="content">
              <div class="ELEMENT ELEMENT_DV_BOOLEAN ">
                <span class="label">Ecografía abdominal:</span>
                <span class="content">
                  <label class="field_473"/>
                </span>
              </div>
              <div class="CLUSTER  ">
                <span class="label">Ecodopler:</span>
                <span class="content">
                  <div class="ELEMENT ELEMENT_DV_BOOLEAN ">
                    <span class="label">Vasos de cuello:</span>
                    <span class="content">
                      <label class="field_474"/>
                    </span>
                  </div>
                  <div class="ELEMENT ELEMENT_DV_CODED_TEXT ">
                    <span class="label">Arteria miembro superior:</span>
                    <span class="content">
                      <label class="field_475"/>
                    </span>
                  </div>
                  <div class="ELEMENT ELEMENT_DV_CODED_TEXT ">
                    <span class="label">Arteria miembro inferior:</span>
                    <span class="content">
                      <label class="field_476"/>
                    </span>
                  </div>
                </span>
              </div>
            </span>
          </div>
          <div class="CLUSTER  ">
            <span class="label">Tomografía computada:</span>
            <span class="content">
              <div class="ELEMENT ELEMENT_DV_BOOLEAN ">
                <span class="label">Cráneo:</span>
                <span class="content">
                  <label class="field_477"/>
                </span>
              </div>
              <div class="CLUSTER  ">
                <span class="label">Cuello:</span>
                <span class="content">
                  <div class="ELEMENT ELEMENT_DV_BOOLEAN ">
                    <span class="label">Indicar:</span>
                    <span class="content">
                      <label class="field_478"/>
                    </span>
                  </div>
                  <div class="ELEMENT ELEMENT_DV_BOOLEAN ">
                    <span class="label">¿Con raquis cervical?:</span>
                    <span class="content">
                      <label class="field_479"/>
                    </span>
                  </div>
                </span>
              </div>
              <div class="ELEMENT ELEMENT_DV_BOOLEAN ">
                <span class="label">Tórax:</span>
                <span class="content">
                  <label class="field_480"/>
                </span>
              </div>
              <div class="ELEMENT ELEMENT_DV_BOOLEAN ">
                <span class="label">Abdomen  / Pelvis:</span>
                <span class="content">
                  <label class="field_481"/>
                </span>
              </div>
              <div class="ELEMENT ELEMENT_DV_BOOLEAN ">
                <span class="label">Miembros:</span>
                <span class="content">
                  <label class="field_482"/>
                </span>
              </div>
            </span>
          </div>
          <div class="ELEMENT ELEMENT_DV_BOOLEAN ">
            <span class="label">Resonancia Magnética Nuclear:</span>
            <span class="content">
              <label class="field_483"/>
            </span>
          </div>
          <label class="field_484"/>
        </span>
      </div>
    </td>
  </tr>
  <tr>
    <td id="left"/>
    <td id="right"/>
  </tr>
  <tr>
    <td colspan="2" id="bottom"/>
  </tr>
</table>
